Design and Planning of PHCs
spiderman2017
PPTforME.pptxDiarrheal Disease Control & Management
Specifically among Maternal, Neonatal and Children under-five in Rural-Poor Communities
Presented by:
Design and Planning of Primary Health Care Projects
Problem Statement:
In Ghana, diarrheal diseases are among the leading causes of morbidity and mortality in children under-five, accounting for approximately 25% of deaths (Binka, Vermund, & Armah, 2011). While many children are affected, diarrheal diseases have a greater presence in rural areas. These diseased not only
affect overall Maternal, Neonatal, and Child Health (MNCH) but are a burden to the economy. The Ghana government spends over US$33 million annually as a result of diarrheal diseases (Ameyaw, Ameyaw, & Acheampong, 2017).
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GOAL:
To reduce the mortality and morbidity of diarrheal diseases among maternal, neonatal, and child populations, particularly amongst the rural-poor and socially-excluded communities in Ghana.
Objectives & Indicators:
Objective 1: Community Based Outreach- CHW's
Engage and train community health workers (CHWs) on causes, control and prevention of diarrheal diseases in maternal, neonatal and under-five children and ways to educate the community.
Indicator(s):
CHWs training needs assessment.
Pre & Post-test/survey for CHWs.
CHW training evaluations & outcome reports.
Number of community members who complete training.
Number of targeted trainers.
Potential Activities: Distribute literature, host community classes, health events, train CHWs.
Possibly: Educate families and communities on hygiene best practices as prevention of diarrheal diseases through literature and community classes.
Joyan: I would suggest: Engage and Train Community Health Workers (CHWs) on a Community-Based Outreach Program to Control and Prevent Diarrheal Diseases in Maternal, Neonatal, and Under-five-children.
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Objectives & Indicators:
Objective 2: Educate Rural-Poor families on treatment options.
Inform rural-poor families of causes and available treatment options for diarrheal diseases and their benefits through community-based training events.
Indicator(s):
Percentage of MNCH with diarrhea sought care from an appropriate healthcare provider.
Proportion of MNCH received oral rehydration therapy (ORS) or recommended home fluids.
Number of community members (families) informed on available treatments.
Potential Activities: Distribute literature, CHW's host community classes and training events.
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Objectives & Indicators:
Objective 3: WASH improvement
Provide the knowledge and tools necessary to improve WASH practices at the household level.
Indicator(s):
Number of MNCH diarrheal disease cases.
Number of WASH kits distributed.
Household surveys on WASH practices.
Number of WASH community training events hosted.
Percentage of community members who attended the event.
Potential Activities: Host training sessions on WASH practices, give hygiene kits to all community members with soap, water tablets, water storage containers, etc and literature teaching best practices.
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Objectives & Indicators:
Objective 4: Strengthen policies related to safe disposal of feces.
Collaborate with MOH and in-country health partner to strengthen national guidelines and policies related to safe feces disposal management and the caregiver behaviors.
Indicator(s):
Household surveys on feces disposal practices.
Percentage of communities declared ODF
Proportion of households with a constructed toilet
Potential Activities: Integrate Open defecation free verification (ODF) protocols and national sanitation policies, strategies, or monitoring mechanisms. Implement raising awareness program to change the behavior of caregivers in safe disposal of child feces both a community and household level.
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US/Ghana Private & Voluntary Organizations (PVOs) Partners:
(USAID, 2017)
(ECHO, 2018)
(MOH_Ghana, 2018)
(Path, 2018)
HEALING WATERS INTERNATIONAL: improves health and alleviates poverty by implementing safe water solutions through developing low cost, high impact water treatment systems to make dirty water safe to drink (USAID, 2017)
Path NGO. Supported by a broad and diverse group of funders, PATH’s programs work to accelerate health equity worldwide, so that all people and communities can thrive (Path, 2018).
ECHO Project UNM: Project ECHO (Extension for Community Healthcare Outcomes) is a movement to demonopolize knowledge and amplify local capacity to provide best practice care for underserved people all over the world. The ECHO model™ is committed to addressing the needs of the most vulnerable populations by equipping communities with the right knowledge, at the right place, at the right time (ECHO, 2018)
MOH, Ghanan (2018). Ministry of Health seeks to improve the health status of all people living in Ghana thereby contributing to Government's vision of universal health coverage and a healthy population. The Ministry of Health, working in partnership with its agencies and stakeholders aims at improving the human capital thus "creating wealth through health" through the development and implementation of proactive policies that will ensure improved health and vitality (MOH 2018)
AFRICARE: works to improve the quality of life of people in Africa. Core capabilities in community engagement, capacity building, locally driven behavior change, and innovative public private partnerships empower project participants with the knowledge and tools to achieve a sustainable path to prosperity (USAID, 2017)
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References:
Ameyaw, R., Ameyaw, E., Acheampong, A.O., & et al. (2017). Diarrhea among Children Under Five Years in Ghana. Global Journal of Research and Review, 4:2.
Binka, E., Vermund, S.H., & Armah, G.E. (2011). Rotavirus as a cause of diarrhea among children under 5 years of age in urban Ghana: Prevalence and serotypes/genotypes. Pediatric Infectious Disease Journal, 30: 718-730.
USAID. (2017). 2016 VolAg Report: Report of Voluntary Agencies Engaged in Overseas Relief and Development. https://www.usaid.gov/sites/default/files/documents/1866/Volag2016.pdf
ECHO, 2018. Project ECHO® Right Knowledge. Right Place. Right Time. UNM. https://echo.unm.edu/wp-content/uploads/2017/09/ECHO_One-Pager_08.17.2017.pdf
MOH, Ghana (2018). Ministry of Health, Ghana. Welcome Page, http://www.moh.gov.gh/
Path (2018). NGO, About. Diarrheal Diseases. https://path.org/diarrheal-disease/
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